Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Albatross to Phoenix Psychiatry LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1801651864

Albatross to Phoenix Psychiatry LLC is a Psychiatric/Mental Health Nurse Practitioner in Jersey City, New Jersey. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

111 Town Square Pl Ste 1238
Jersey City, NJ 07310-1810
Phone: (201) 757-2531
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1801651864
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ricky Jewell — Advanced Practice Nurse · (862) 774-4562
NPI enumeratedFebruary 19, 2024
Last updated in NPPESFebruary 19, 2024
Certification dateFebruary 19, 2024
Mailing address111 Town Square Pl, Suite 1238 Pmb 801874, Jersey City, NJ 07310

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